Individual
DR. JERRY R WUTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1637 SANTA GERTRUDIS LOOP, BISMARCK, ND 58503-0866
(701) 255-1955
Mailing address
1637 SANTA GERTRUDIS LOOP, BISMARCK, ND 58503-0866
(701) 255-1955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
338
ND
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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